Expert: Gorkey Gourab - 10/4/2010

Question
QUESTION: Dear

I was in prostate for one night, we used masturbation each other, but I used with the same hand fingering her vagina and by the same hand masturbate my pines. In my pines there is a fungus, when it erect it looks red but when it collapses looks white cover.
Please do you have experience this kinds thing and is there a responsibility to transmit HIV?
Thank you
Kider


ANSWER: Dear Kider,

Before answering your question, I want to apologize for being so late.

Please let me present few facts and then proceed to an answer:
1. Fungal infection or any other STI increases the risk of HIV transmission.
2. Vaginal fluid contains HIV if someone (the sex worker in your case) in HIV infected and it can be transmitted through the way you described, if the fungal infection led to open sore.
3. We don't know the HIV status of the sex worker

Such type of sexual encounter is considered as lower risk. Therefore, while there is a possibility there, getting tested is the best way to get rid of all the dilemma.

Regards,
Gorkey

---------- FOLLOW-UP ----------

QUESTION: Hallo Gorkey,
Thank you for your help and If it is useful for you and also for me assessment ,the following condition of my health after going to the prostitute making masturbation with the same hand and fingering her(look the first email).
Thank you
Kider


1.   On the day 30 July 2010 join with prostitute.
2.   After two weeks starting the situation on that day what I am doing and starting fearing about HIV.
3.   Starting the last date of the second week until the second day of the third week full of stress happened.
4.   On the first two days of the third week completely got gastric problem..No food and week. Wednesday of the third week join the clink to get medicine for gastric.  And  get some relief
5.   Starting the third week I was gone to the doctor and the doctor say gastric problem (H.Pylori) or bacterial in gastric and give me different medicine for bacterial (For H.Pylori) for seven days.
6.   start the medicine for gastric and finish the middle of the fourth week.
7.   Starting the fourth week until the end of fourth week my health is better and better except some symptom of gastric.
8.   On the fives week except some gastric problem and some food selection it was better.
9.   On the six week my health is better
10.   On the first  day of the eight  week evening I got bad smile from the road and got Flu,->then I got some medicine and passed
11.   On the ninth week decrees the flu and passed.
12.   Now I am in the tenth week no any health problem


Answer
Dear Kider,

Welcome back. You have presented few of your health statuses after your exposure. Let us go through few of the symptoms of primary HIV infection, and to my opinion.


Most people (up to 90%) with primary HIV infection have symptoms, usually 2 to 6 weeks after becoming infected with HIV. These symptoms are generally referred to as "acute retroviral syndrome” (The Body, 2010).

Primary HIV infection can have a variety of different symptoms. Some researchers believe that rash and fevers are the strongest predictors of primary HIV infection, especially when occurring in combination with one or more of the following symptoms:
Loss of appetite
Joint pain
Sore throat
Muscle pain
Swollen lymph nodes
Diarrhea
Fatigue
Nausea and vomiting
Headache
Oral or genital ulcers

Some people will become infected with HIV and have no symptoms. However, most people do have symptoms (Public Health Agency of Canada, 2004; The Body, 2010). As from your presentation, I have noticed a numbers of issues, which can be linked to primary HIV transmission.

You have not mentioned whether you have got tested for HIV, which would be much helpful. I would suggest you to get tested and besides if you notice the aforementioned symptoms, you should seek prompt medical attention from a doctor (or clinic) who specializes in treating HIV. Getting tested is the best suggestion from my part.

Best regards,
Gorkey

References cited:
1. Public Health Agency of Canada. (2004). HIV/AIDS Epi Update - May 2004: Oral Sex and the Risk of HIV Transmission. Retrieved September 12, 2010, from http://www.phac-aspc.gc.ca/publicat/epiu-aepi/epi_update_may_04/13-eng.php
2. The Body. (2010). Primary HIV Infection. Retrieved September 23, 2010, fromhttp://www.thebody.com/content/art16795.html